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What Is The Dosage Of Sinarest AF Syrup For Cold In Children?

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Posted on Tue, 24 Feb 2015
Question: My 4 month old toddler has been prescribed 2 ml of Sinarest AF Syrup for high cold and congestion. Is the dosage right? Sites say Sinarest AF drops should be 0.2 ml. Bu this is syrup. How does one calculate dosage?
doctor
Answered by Dr. Sumanth Amperayani (28 minutes later)
Brief Answer:
Do not use Sinarest AF - not licensed at this age

Detailed Answer:
Hi...Cough and cold are viral 95% of the times in children.

Sinarest - AF syrup contains Pseudoephedrine hydrochloride and Chlorpheniramine maleate. Both these drugs are not licensed to be used in less than 6 months age. Sometimes they increase the heart rate and cause tachycardia which is not good for babies.

For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.

For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.

Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
Dr. Sumanth MBBS., DCH., DNB (Paed).,

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Sumanth Amperayani (5 minutes later)
Sinarest AF Drops has both these constituents. And as your site clearly has replies at many places - is commonly used for infants. If what you say is correct - then Sinarest AF drops also should not be prescribed - as this has the same constituents.
Either this answer is not correct - or answers across the site are not correct.
doctor
Answered by Dr. Sumanth Amperayani (11 minutes later)
Brief Answer:
I am giving my opinion for you

Detailed Answer:
Hi... I am giving my opinion for you please. Till now in my so many years of practice I have never used any combination medicines for any of my patients.

Moreover it's my personal opinion on a condition or drug. The opinions in the site are not for me to comment about. Those are the opinions of other practioners. I humbly suggest you that I cannot give opinions same as others or same as in website because I give my personal opinion when asked upon in this website keeping in mind the safety and efficacy.

If you have a doubt regarding my opinion about the usage of these medicines for a 4 month old you can refer to FDA website or Medscape website. It says less than 2 years the safety and efficacy are not established.

But there is something called risk benefit ratio for any drug...and if in the doctor's opinion a drug's effectivemess out weigh the risks, we prescribe it.

Hope this explanation and information helps you.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Sumanth Amperayani (21 minutes later)
Perfect. I perfectly understand. No offense intended from my side to you as well. However - since the medicine has been prescribed - what I would like to understand is only with respect to the dosage.

If the medicine were to be prescribed, keeping in perspective that the condition requires this medicine or drug, is the dosage correct keeping in mind the age and weight of the infant.

That is my only question - whether the dosage prescribed is correct - or there has been some mistake.
doctor
Answered by Dr. Sumanth Amperayani (26 minutes later)
Brief Answer:
Suggested dose seems to be apt

Detailed Answer:
Hi....thank you for understanding. The dose seems to be appropriate.

Coming to your query... The 0.2ml you quote is for drops. You are right. Depending on composition, 1-2 ml syrup precribed by your doctor should be fine. You can give this every 8th hourly.

Hope this helps.

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Is The Dosage Of Sinarest AF Syrup For Cold In Children?

Brief Answer: Do not use Sinarest AF - not licensed at this age Detailed Answer: Hi...Cough and cold are viral 95% of the times in children. Sinarest - AF syrup contains Pseudoephedrine hydrochloride and Chlorpheniramine maleate. Both these drugs are not licensed to be used in less than 6 months age. Sometimes they increase the heart rate and cause tachycardia which is not good for babies. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Dr. Sumanth MBBS., DCH., DNB (Paed).,